Individual
JACK B YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(781) 879-0057
Mailing address
6 WILDWOOD RD, LEXINGTON, MA 02421-6412
(781) 879-0057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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